Mastitis

Mastitis is a fairly common malady in nursing moms.  It is the inflammation of breast tissue due to many possible reasons such as infection that was introduced from cracked nipples or from other sources, engorgement, inadequate removal of milk, skipped feedings, pressure on the milk ducts from tight clothing or sleeping positions, stress, and fatigue.  

Possible symptoms of mastitis include: a hard lump or area of engorgement that feels hot, tender and red; pain in the breast without a visible area of hardness or engorgement; red streaks extending outward from the swollen area; fever; chills; and flu-like symptoms. 

If you think you may have mastitis, start home treatment right away.  Get in bed with your baby, drink extra fluids and have someone help you around the house.  Nurse on the affected breast at least every two hours (and also nurse on the other breast, too).  If it is too painful to nurse on the affected side first, start on the other side until you get a letdown and then switch back to the affected side.  Use heat (a warm washcloth or a warm shower are good options) and light massage before nursing your baby.  Offer the affected breast first and massage the breast from the area of the plugged duct towards the nipple.  You can also try breast compressions and dangle feeding.  After nursing, hand express or pump for a few minutes if your baby did not seem to empty the breast enough and use cold compresses for comfort.  You can also consult your health provider about using a pain reliever.  If your symptoms are fairly mild and you have only had them for less than 24 hours, continue with home treatment.  If you are pretty sick or your symptoms do not improve within 12-24 hours, please call your health care provider.

(1) Mastitis: Prevention, Symptoms and Treatment | Ask Dr Sears

(2) Plugged Ducts and Mastitis: Kellymom